| Item Number | Description | Schedule Fee |
|---|---|---|
| 41638 | Clearance of middle ear for granuloma, cholesteatoma and polyp, one or more, with or without myringoplasty with ossicular chain reconstruction other than a service associated with a service to which another item in this Subgroup applies (H) (Anaes.) (Assist.) |
$1,666.25 |
| Total: | $1,666.25 | |